Provider Demographics
NPI:1790390508
Name:MOVEMENT HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:MOVEMENT HEALTH SOLUTIONS
Other - Org Name:THE MOVEMENT HEALTH SOLUTIONS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-232-2943
Mailing Address - Street 1:122 E RUSH AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-4326
Mailing Address - Country:US
Mailing Address - Phone:870-743-4916
Mailing Address - Fax:870-280-1962
Practice Address - Street 1:122 E RUSH AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-4326
Practice Address - Country:US
Practice Address - Phone:870-743-4916
Practice Address - Fax:870-280-1962
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOVEMENT HEALTH SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-09
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty